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SI~E ADDRESS: <br /> <br />AS-BUILT PLAN OF CONSTRUCTED SYSTEM: <br /> <br />INDIVIDUAL ON-SITE SEWAGE SYSTEM RECORD 2 ~ (~3 (to.~e completed by system installer) <br /> <br /> I\ FILE <br /> <br />(show all details and dimensions necessary to locate all components of the s~em in. the uture} <br /> <br /> (for Marion County use only) <br /> The above septic system has been inspected by Marion County. The information has been determined <br /> to be accurate and the system is: <br /> ]Approved <br /> Approved with corrections: see inspection report <br /> <br /> Sign~P ~A ~ Tit~/~F/~//~ Date: ~//~/4~ <br />as-bui~t'.fr~ 4/95 v WHITE:Marion Counhy; YELLOW:Owner; P~NK:I~staller <br />MC-15-S41 <br /> <br /> <br />